IV low-dose ketamine versus IV morphine for treating children's sudden pain

Efficacy of intravenous sub-dissociative ketamine versus intravenous morphine in children with acute pain.

NIH-funded research Columbia University Health Sciences · NIH-11184435

This project compares low-dose IV ketamine and IV morphine to relieve sudden moderate-to-severe pain in children and teens who come to the emergency department.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionColumbia University Health Sciences NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11184435 on NIH RePORTER

What this research studies

If your child comes to the emergency room with moderate-to-severe acute pain, they may be given either a low (sub-dissociative) dose of IV ketamine or IV morphine and then followed to see how well the pain is reduced and whether side effects occur. The study will track immediate pain relief, breathing and blood pressure safety measures, and short-term recovery after the ED visit. Investigators will also look at longer-term outcomes like ongoing pain, need for more pain medicines, and emotional effects such as anxiety or stress after the event. Care teams at participating emergency departments will follow a standardized plan so results can be compared across children enrolled in the trial.

Who could benefit from this research

Good fit: Children and teenagers who come to an enrolling emergency department with moderate-to-severe acute pain and who can safely receive IV analgesia are the ideal candidates for this project.

Not a fit: Infants, people with known allergies or medical reasons not to receive ketamine or morphine, or those not eligible for IV treatment may not be able to participate or benefit from the results.

Why it matters

Potential benefit: If successful, this could provide a safer and effective alternative to morphine that reduces breathing or blood pressure problems and lowers opioid exposure in children.

How similar studies have performed: Low-dose IV ketamine has been shown to relieve acute pain safely in adults, but large head-to-head trials comparing it to morphine in children are limited, so this direct comparison is relatively new for pediatrics.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.